Under President Obama's new health care law Medicaid will become a very different health coverage program than first envisioned.

Americans want and deserve a broad array of health insurance choices so they can identify those that best fit their own individual or family needs. These choices expand when we allow free enterprise to foster innovation not smother it with taxes and one-size fits all ideology.

Prior to passage of Obamacare Americans spoke out against the individual mandate they didn't want to change the health care they had they didn't want a 3 000-page bill that empowered 15 Washington bureaucrats to decide the future of the doctor-patient relationship.

I know the exploding cost of health care is at the root of our long-term fiscal challenges.

My background is in health care.

When I ran for Congress I promised to help make health care affordable again.

You can't have public health without a public health system. We just don't want to be part of a mindless competition for resources. We want to build back capacity in the system.

If any country was a mine-shaft canary for the reintroduction of cholera it was Haiti - and we knew it. And in retrospect more should have been done to prepare for cholera... which can spread like wildfire in Haiti... This was a big rebuke to all of us working in public health and health care in Haiti.

So I can't show you how exactly health care is a basic human right. But what I can argue is that no one should have to die of a disease that is treatable.

In other words we have marketed our way into this health crisis.